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17C-211 (4) ,a 08/13/2007 15:02 P. 002 Aug 13 2007 15:02 P. 02 I I QVENN�V�LLE ROOF�NG� ANC. 160 Old Lyman Road • South Hadley, MA 01075 1-800-NEW-ROOF www.1800newroof.net • info @I800newroof.net June 26, 2007 Florence Savings Bank 85 Main Street Florence, MA 01062 Attention:MA- e Brown I Scope of Wo i for 85 Main Street Florence,AU 1. Remove and dispose of all existing roofing materials dawn to the wood deck- 2. Re-sump and replace two existing drains. 3. Provide and install 3"polyisocyanarate insulation (tapered to drains if necessary) mechanically attached to roof decking. 4. Remove existing perimeter wall reglet and replace with new metal. 5. Provide and install Carlysle .060 TPO roofing system. 6. Flash all vent pipes, roof top units etc to manufacturers specifications. 7. Provide and install new,0 0 bronze aluminum metal:Fascia as necessary. Protection:We will protect the existing structure and its contents, interior finishes and all site work during demolition, r oval and repair operations against all risk associated with the work The premises,incl ding access drives and parking areas, shall be left in a neat, clean and safe condition at&end of each days work. Warranty: Provide owner with a 10 year, Adam QueiDneville material and labor warranty. We.propose:To hereby furnish In. enals and labor in accordance with above specifications for the sum of $9,560. Terms:113 deposit at signing, b e due at job completion NOTE.-This quote may be withdrawn by us if not accepted within 30 days. Signature: Date: Ca ACCEPTED: The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorizi6d to do the work as specified. Please sign one copy and return to the above address Thank you! Date / �/ Sig�o�ature 4 Phone# t�minUi•••ni.knvc MA Construction Supervisors Lic#D70626•MA Contta<tor Li(,s1i0982•Cr Contractor Lic.#575920•Member of the Home Builder's Association of Western Mass. Jun-28-2007 02:11 RM� u Remillard Insurance 1.413-538.6010 112 ACCRDm CERTIFICATE OF LIABILITY INSURANCE CSR Rz DATE(MMIDDIYYY ADAM -3 06/28/07 7j PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE Remillard Insurance Agcy, Inc HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 79 Lyman Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. South Hadley MA 01075 Phones 413-538-7862 Fax:413-538-7179 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: AIM mitual insurance company INSURER B: Penn America Ins., Co. Adam Quenneville Roofing Inc INSURER C: PO BOX 612 INSURER D: South Hadley NA 01075 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY NUMBER R LIMITS LTR NS TYPE OF INSURANCE DATE MM/DDIYY DATE MMIDDlYY GENERAL LIABILITY EACH OCCURRENCE $1000000 B X COMMERCIAL GENERAL LIABILITY S17B1015632 D6/23/07 06/23/08 PREMISES Eaoccurenee S 500DO CLAIMS MADE 7 OCCUR MED EXP(Any one person) $50 0 D PERSONAL BADVINJURY $1000000 GENERAL AGGREGATE $2000000 GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2000000 POLICY 7 jERCOT r LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY (Per person) $ SCHEDULED AUTOS HIRED AUTOS BODILY INJURY S NON-OWNEDAUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR F] CLAIMS MADE AGGREGATE $ S DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND X TORY LIMITS ER A EMPLOYERS'LIABILITY AWC7019733012OD6 09116106 09116/07 E.L.EACH ACCIDENT $100000 ANY PROPRIETOWPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? E.L DISEASE-EA EMPLOY S 100000 If 77rereaa describe under E.L.DISEASE-POLICY LIMrrj S 500000 -SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Commercial Roofing - Appleton Corporation and all its interests are included as additional insureds with respects to general liability. CERTIFICATE HOLDER CANCELLATION SHOULD ANYOF THE A50VE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO L TION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPR IZ PTAWE Ste hen E. Radon ACORD 25(2001108) ©ACORD CORPORATION 1988 RX Date/Time 06/19/2007 13: 16 P. 001 06/19/2007 TUE 13:07 FAX Z001/001 ACORD,. CERTIFICATE OF LIABILITY INSURANCE �A'D--2 DA 06/19/07' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE PHILLIPS INSURANCE AGENCY INC HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 97 CENTER STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. CHICOPEE MA 01013 Phone: 413-594-5984 Fax:413-592-8499 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A. SAFECO Insurance Company INSURER B: Adam Quenneville Roofing Inc. INSURER C: 160 Old LVman Street INSURER D. South Hadley MA 01075 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY NUMBER EFFECTIVE LIMITS LTR NS TYPE OF INSURANCE DATE M DATE MM/DD GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurence) $ CLAIMS MADE ❑OCCUR VIED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ POLICY PRO LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT A ANY AUTO 25001450 11/01/06 11/01/07 (Ea accident) $ 1000000 ALL OWNED AUTOS BODILY INJURY $ X SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY (Per accident) $ X NON-OWNED AUTOS PROPERTY DAMAGE $ Included (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ r AUTO ONLY AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND TORY LIMITS ER EMPLOYERS'LIABILITY EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE El OFFICER/MEMBER EXCLUDED? E.L DISEASE-EA EMPLOYEE $ If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION TOPROVI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 20 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL To Provide Proof of Coverage IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTH ZED REPRESE TATIVE M pA r , ACORD 25(2001108) ©ACORD CORPORATION 198 Board of Building Regula ions and Standards 4 . One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvemenf,`Contractor Registration Registration: 120982 Type: DBA Expiration: 3/25/2008 ADAM QUENNEVILLE ROOFING. ADAM QUENNEVILLE - P.O. BOX 612 = SO. HADLEY, MA 01075 Update Address and return card.Mark reason for change. DPS-CA1 0 soon-04/05-PCe698 � Address [] Renewal 7 Employment Lost Card _ Board of BuildinC� eCC��ulations One Ashburton Place, Ism 1301 Boston, Ma,02108-1618 License: CONSTRUCTION SUPERVISOR LICENSE Birthdate: 08/21/1971 Number: CS 070626 Expires:08/21/2007'-:-". :£; :w Restricted To: 00 ADAM A QUENNEVILLE 160 OLD LYMAN RD S HADLEY, MA 01075 = = it r Tr.no: 3761.0 .-.•...-. vn....�....i.,r.ve-utn4 and rhanno of address notification. . k4/.., > _ .. .. •. �` 4 <;r:•-�t`' � •' •p T) ��t r MPm ar g �: r. 1 t �-.,...., x a ,*r'3'_i �' r.�, �Vii: ..f✓. 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N. . _... •�{ �� ti� (rifyr >,�f �trt-tl��ttlt}rfnit � 6 fiia�eacfinsrt[s' — L)EP/UtTMWF OF BLJIIDI)�G INSPECTIONS - 212 Main Street ' Municipal J3uilding Northainpton, hfass. 01060 " WOMCER'S COMTENSATION 1NSUIZA_NCE A m,,N1T r (liccns�Jrfrmliicc) �-- witl) a principal plau of businesslresidenc-e ai: .. -- - (SLTCCUC7ti�: cL �71Fi) do hereby cerilly L'T1CIc1- Lhe 1)2!ilS ;'.ild pt il?iLIC; Oi perJlllY, i.hr Y I am an employer providing the follo.vint_ .;orr,c�s cotnnensauon covcr-e-c for Iny employees worErig on this job: ansur== Comp ay) ir-,aen Daic) ( ) I and a sole proprietor, general coI t=—Lor ur homeowner (ci cle one) and hav;, tvrC-d the contractors l:Sted beiow h0 h-'.-e the ,vorkers cFJulpen�:i:or1 policies: ,,Name of Contactor) (Insurance Corrpan,:'polio- NtuT±7� ) Tx::-a c Date) (Name of Cottrctor) -- Q�is�rnce Com�vl�'/P9!ie,' Numlrr) (1 ?:pi-ii01 Date) (I"'ame of Contractor) I, a-mce co :nyii'oGc: iitul:tf r) ( x . r ion Date) (Name of Contactor) —- (Insurauc—c CoulT,4.'ry/policy Numt_r) (Espi-siion Date) O I un at sole propcit Lcir i!!:i have no of:C '.:;;rki;i for me. I Gill a home owner iici?C`1?)Inr' A tl t. NOTE:plc-ase be a}ri:e thl. `•i7e L c<-ca:it a�r�r,�l�y ix e.�-�_ au3e�cL.c=r G m er not uxce than throe units in«1 idt:hc u-a; ca;ployc-s un.;cr t1-,-worke—Cc S• :sti:n:r (rL!52,z•1(5);,ap diC:tic;by a hrn•uou•xr fcr a L c C�-Fnrmi:::::_:-. .�rric ti legal rtatus of a.n a=ployer under dle we kc1a lion-Saar:.ition Act I urde•^rtaad that a copy of t}v ctatm—i c,y fe favrard"to 17n[Y_t orLZ,cja of Indwtrial Aa66mt:e Ofl-of!-' ,-:*:e for tim -Vcrt6'e vCriG=ioa and that f_UM to t�-tr:Cover_;^.,undo: cC.iCII 25A of MCI.,152 can Icad to the imposition of c ni 1 Paul:cs Coamtsring of a fur_of up to.S I X00.00 a:-.&'cy ir; ris rz oft,p to cn'}:ar r.-.j civil pcnzlLca in de firth of a Sic-,i%Jorr,0,d and a firer of 5109.00 a day a ._iml m:. . For dcparus rats]u.o ull y l Ycrmit Nuu7lx:r : 8 1 Licensed Construction SuuRervisor:��11 _Q Not Applicable pp❑ Name of License Holder : /�`!/�� 101111,�l��eL� /` "� ��/ 070 &A l© License Number `Cep d m ,1r le -;i dV ®10>s �-dll- G � Address Expiration Date V/3 sJ6 s�ffr Si are Telephone MRe ff RRE vTrne"n "ont le- Not Applicable ❑ Company Name Registration Number l bo OLD LV/WO2�2 Ole 7r '?-af-of Address Expiration Date l Telephone W r?6 SEGIOF'fO W R1�Et2StCOMPENSATION4NS�URANCE AFFIDAVIT(M Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes....... No...... ❑. The current exemption for"homeowners"was extended to include Owner-occupied Dwellings_of one(1) or:two(2)families and to allow such homeowner to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. CMR 780, Sixth Edition Section 108.3.5.1. Definition of Homeowner:Person(s)who own a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be, a one or two family dwelling,attached or detached structures accessory to such use and/or farm structures.A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official,on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. As acting Construction Supervisor your presence on the job site will be required from time to time, during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152(Workers' Compensation) and Chapter 153 (Liability of Employers to Employees for injuries not resulting in Death)of the Massachusetts General Laws Annotated,you may be liable for person(s) you hire to perform work for you under this permit. The undersigned"homeowner"certifies and assumes:responsibility for compliance with the State Building Code,City of Northampton Ordinances,State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature -�env j:-:v t, Vii. 7 :�i—•? - M ' - i r I* G"�,r - r f s4 r Ewl Y f IE •,� r�'S E101 R.0 PODS Ea New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing �( Or Doors ❑ Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding[ ] Other [ ] Brief Description of Proposed Work: TE1410� ®f%W 4X &0 t',V fV_J=i& AAIJ 14 jjy�u ro�Fi�y �lrtn� Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative 0 Renovating unfinished basement Yes No Plans Attached Roll 0 - Sheet 0 6a" ='. t dditran o e �stitgh> ing, c© p ;=e f1 nr : a. Use of building : One Family Two Family Other /\ b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new construction. Dimensions e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Mascheck Energy Compliance form attached? h. Type of construction i. Is construction within.100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations?. Yes No I. Septic Tank City Sewer Private well City water Supply rj E m �[ ON O BE NCO ETED 1NHE[ b �; �GFk �'PLIES�FORUIIDI[�G PR"Ifi�' "� , I. as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date as Owner/Authorized Agent hereby declare that at the statements and information on the foregoi g application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury. -4� i/6r11il% I/fL�6 Print Name Signature of Owner/Agent Date Section 4. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size -Frontage Setbacks Front Side L: R: L: R: Rear Building Height Bldg. Square Footage % Open Space Footage % (Lot area minus bldg&paved -parking) #of Parking Spaces Fill: volume&Location A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DON'T KNOW YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW YES IF YES: enter Book Page and/or Document # B. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained Date Issued: C. Do any signs exist on the property? YES NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ?YES No IF-YES, describe size, type and location: ......... "'ity of Northampton --v Building Department 212 Main Street 1: II L�4� Room 100 �' 2 Northampton, MA 01060 phone.-.43.5 7.1240 Fax 413-587-1272 t G " S ---A-PPLICATION TO CONSTRUCT,ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION - SITE f,t�FOMTION s k «�� Th in se %o" {�° com: tedb off�c t �° 1.1 Property Address: qr ` t» k • l� 'AICL . . / 10 6� r Zo ElrttDistrict � GBDI SECTION 2 PROPERTY 01 (NERSNIPIAUTIiORIZED AGENT. :. - 2.1.Owner of Record: Name(Print) �— Current Mailing.Address: �— Telephone Signature 2.2 Authorized Agent: Name(Print) Current Mailing Address:/ C9/0 A; Signature Telephone SECx10N 3 ESxTIMATI QED CONS�'RI�CT'fON�C05TS Item Estimated Cost (Dollars) to be Official Use Only completed by ermit applicant 1. Building (a) Building Perrn4t Fee Oa 2. Eler.rical _ (b) �:.,c timated Total"Cost:of Construction,fro.i n 6 3. Plumbing Building Permit l=ee 4. Mechanical (HVAC) 5. Fire Protection 6. Total = G + 2 + 3 + 4 + 5) ' '60. (y 0 Check Number This$ectiowfor Official Use On! . Bu�ld,ng Permit Number Date.lssu.ed Signature. Bwldirg:Commissioner/Inspector of Buildings.; Da,te L BP-2008-0181 GIs#: COMMONWEALTH OF MASSACHUSETTS 11MUNNISM1500 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category BUILDING PERMIT Permit# BP-2008-0181 Project# JS-2008-000281 Est. Cost: $9500.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Adam Quenneville Lot Size(sq. ft.): 25482.60 Owner: Florence Savings Bank zoning:iB Applicant: Adam Quenneville AT: 85 MAIN ST - FSB Applicant Address: Phone: Insurance: 160 OLD LYMAN RD (413) 536-5955 O Workers Compensation SOUTH HADLEYMA01075 ISSUED ON:812212007 0:00:00 TO PERFORM THE FOLLOWING WORK.-INSTALL NEW TPO ROOFING SYSTEM POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: FeeType: Date Paid: Amount: Building 8/22/2007 0:00:00 $50.003586 212 Main Street,Phone(413)587-1240,Fax: (413) 587-1272 Building Commissioner-Anthony Patillo